Individual provider · NPI-1
Justice Jeane Adams
Technician/Technologist · Dearborn, MI
NPI number1346020799
StatusActive
Last updated in NPPESOct 3, 2023
Details
- NPI
- 1346020799
- Entity type
- Individual (NPI-1)
- Name
- Justice Jeane Adams
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 3, 2023
- Certification date
- Oct 3, 2023
- Last updated
- Oct 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156F00000X | Technician/Technologist | – | – | Yes |
Practice location
19853 Outer DrDearborn, MI 48124-2066
Phone 313-406-5056
Mailing address
19853 Outer DrDearborn, MI 48124-2066
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